Waverly Community Schools
Please enter the information below before entering the building. If you answer "Yes" to any of the questions below, or have a fever, please DO NOT enter the building. Contact your Supervisor and the Human Resources Dept. immediately at (517)319-3023

If you develop these symptoms during the work day, please use proper social distancing, return home and call the HR Dept for further guidance.
Email *
First Name *
Last Name *
Building *
Current Temperature *
In the past 24 hours, have you experienced any of the symptoms below: Fever (100.4° F or higher), Continuous and severe cough, Shortness of breath, New or loss of taste or smell, Diarrhea. *
In the past 14 days you have been exposed to a person with COVID-19? (An immediate family member or member of your household has tested positive for or exhibited symptoms of COVID-19; or you were notified by a public health official that you were in close contact with the someone testing positive for COVID-19). *
In the past 14 days, have you experienced TWO or more of the following symptoms: (Chills, Repeated shaking with chills, Unexplained muscle pain, Sore throat, Headache) *
By checking the box below, you are certifying that you're responses are true and accurate, prior to entering the workplace to the best of your knowledge. Once inside, you will be required to properly wear a face covering in all public spaces and maintain a 6 foot distance from all other employees. *
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